Individual
GREG L COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
230 FOUNTAIN CT, SUITE 180, LEXINGTON, KY 40509-1895
(859) 276-5008
(859) 278-6401
Mailing address
230 FOUNTAIN CT, SUITE 180, LEXINGTON, KY 40509-1895
(859) 276-5008
(859) 278-6401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
863
TN
363A00000X
Physician Assistant
863
TN
363A00000X
Physician Assistant
Primary
PA293
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000831284
ANTHEM
KY
05
—
3668052
—
TN
01
—
P01229485
RAILROAD MEDICARE
KY
Enumeration date
04/25/2006
Last updated
12/02/2013
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